Professional Documents
Culture Documents
I. INTRODUCTION
1.1 National Health Policy, 1983, refers to our rich, centuries - old heritage
of medical and health sciences. The Policy outlines that although vast
infrastructure is available in the Indian Systems of Medicine and
Homoeopathy for addressing health care of our people, they are under
utilized. The Policy suggested that it was necessary to initiate measures to
enable each of these various systems of medicine and health care to develop
in accordance with its genius. Simultaneously, planned efforts should be
made to integrate their services, at the appropriate levels, within specified
areas of responsibility and functioning in the over all health care delivery
systems, specially in regard to the preventive, promotive and public health
objectives. The Policy emphasized the need for a meaningful phased
integration of Indian Systems of Medicines with the modern medicines, and
also outlined the need to secure complete integration of all plans for health
and human development, particularly agriculture and food products, rural
development, education and social welfare, housing, water supply and
sanitation.
2.2 The Central Council for Health and Family Welfare in 1999
recommended, inter-alia, that at least one physician from the Indian Systems
of Medicine & Homoeopathy (ISM & H) should be available in every primary
health care centre and that vacancies caused by non-availability of allopathic
personnel should be filled by ISM & H physicians. The Council also resolved
that specialist ISM & H treatment centres should be introduced in rural
hospitals and a wing should be created in existing state and district level
government hospitals to extend the benefits of these systems to the public. It
also resolved that expenses on treatment taken in ISM hospitals should be
recognized for reimbursement for Central Government employees. In 2001, it
further reiterated that the States must revisit the subject and identify specific
areas where ISM practitioners can be entrusted with public health functions
within the ambit of state legislations.
4. Medical Education
4.1 Medical education in Indian Systems of Medicine & Homoeopathy has
been a cause of concern. After enactment of Indian Medicines Central
Council Act, 1970 and Homoeopathy Central Council Act, 1973, five-and-a-
half years Under-Graduate course and three years Post-Graduate course
were introduced, provisions for adequate clinical exposure and internship
made. The number of Indian Systems of Medicine & Homoeopathy colleges
have increased phenomenally to 404. The Central Councils have
implemented various educational regulations to ensure minimum standards of
education. Depite this, there has been a mushroom growth of sub-standard
colleges causing erosion to the standards of education and harm to medical
training and practice. Liberal permission by the State Government, loopholes
in the existing Acts and weakness in the enforcement of standards of
education have contributed to this state of affairs.
6. Medicinal Plants
6.1 Indian Systems of Medicine & Homoeopathy use predominantly plant
materials for the preparation of their drugs. 8000 plants are stated to have
medicinal properties although 500 of them are generally used. Most of these
plants grow in the wild as natural component of vegetation of a particular
region and the supply chain is carried out informally. This traditional base is
shrinking due to over exploitation, unsustainable practices, biodegradation
and population pressure. There are restrictions on extraction and
procurement from the wild. The trade is secretive and exploitative leading to
unsustainable practices in the quest for profit. In the absence of a scientific
system for collection and fostering regeneration of such plants, several
species have either been completely lost or become endangered. Industry
constantly faces the problem of raw material supply and its quality.
Adulteration and substitution of drugs is reported to be rampant in a near
absence of assured supply of quality raw drugs and an enforcement system.
15. OBJECTIVES
The basic objectives of this Policy are :
(a) To promote good health and expand the outreach of health care to our
people, particularly those not provided health cover, through
preventive, promotive, mitigating and curative intervention through
ISM&H.
(b) To improve the quality of teachers and clinicians by revising curricula to
contemporary relevance and researchers by creating model institutions
and Centres of Excellence and extending assistance for creating
infrastructural facilities.
( c) To ensure affordable ISM&H services & drugs which are safe and
efficacious.
(d) To facilitate availability of raw drugs which are authentic and contain
essential components as required under pharmacopoeial standards to
help improve quality of drugs, for domestic consumption and export.
(e) Integrate ISM&H in health care delivery system and National
Programmes and ensure optimal use of the vast infrastructure of
hospitals, dispensaries and physicians.
(f) Re-orient and prioritize research in ISM&H to gradually validate therapy
and drugs to address in particular the chronic and new life style related
emerging diseases.
(g) Create awareness about the strengths of these systems in India and
abroad and sensitize other stakeholders and providers of health.
(h) To provide full opportunity for the growth and development of these
systems and utilization of the potentiality, strength and revival of their
glory.
16. STRATEGIES
The strategies to achieve the objectives through policy interventions
and support operational measures and monitoring are delineated as under :-
16.1. Education
(a) Legislative measures would be taken to regulate starting of a new
college, increase in intake and introduction of new course of study.
Establishment of model colleges and Centres of Excellence of ISM&H
would be encouraged. The course curriculae would be reviewed and
revised to weed out unnecessary teaching materials; incorporate what
is relevant keeping in view present requirements, including research
achievements; the component of modern medicine would be reduced;
and study of Sanskrit in Ayurveda discipline and Urdu and Persian in
Unani discipline would be incorporated in the curriculae. Nursing and
Pharmacy education would be introduced and regulated through
existing or new regulatory councils. A separate regulatory council for
Yoga and Naturopathy would be set up. Schemes for providing
vocational training for housewives, dais, nurses, etc., and course for
dietitians based on Ayurvedic and naturopathy approach to food and
nutrition would also be developed. National Institutes would be made
fully functional as Centres of Excellence.
(b) States would be encouraged to introduce separate examinations for
entry to Undergraduate courses of the Indian Systems of Medicine &
Homoeopathy and Post-graduate institutions would be encouraged to
start a unified admissions test for PG courses of Ayurveda and Unani
to bring about uniformity in standards and foster healthy competition
and recognition of merit.
( c) Re-orientation training of physicians and teachers would be made
compulsory for the renewal of their registration with the registering
councils.
(d) Central Government would set up an accredition system whereby silver
and platinum standards would be given to ISM&H colleges to inspire
students and teachers to aspire for higher standards of teaching,
clinical exposure & research and thereby to achieve excellence
16.2 Research
(a) Priority would be accorded to research covering clinical trials,
pharmacology, toxicology, standardization and study of pharmacology
kinetics in respect of already identified areas of strength. The research
areas would be prioritised keeping in view the strengths of the systems
and contemporary relevance giving due emphasis on preventive and
promotive aspects.
(b) Other important areas of research would include :
16.5 Integration of ISM & H and National Health Care Programmes and
Delivery System.
(a) Eleven areas have been identified where the Ayurvedic herbs would be
useful for ante-natal, intra-natal, post-natal and neo-natal care. This
concept would be taken forward to cover the use of Unani and
Homoeopathic drugs also. The identified areas include menstruation,
preparation for delivery, vomiting in pregnancy, loss of appetite,
constipation, gaseous distention, acidity & diarrhea, treatment of
oedema, insomnia, anemia, piles, delivery and its management and the
care of the new born. In the areas of neo-natal and child health, the
identified areas would be care of the new born, precautions in early
infancy, management of diarrhea, constipation, worm infestation in
children. The entire approach would be traditional and based upon
operational research study findings.
(b) Schemes for growing medicinal plants for production and sale of plant-
based products including herbal tea through womens groups and tribal
agencies would be encouraged.
( c) The possibility of introducing knowledge relating to the properties of
medicinal plants and preparation of simple home remedies from ISM in
the school curriculum, would be explored and taken forward.
(d) Naturopathy diets, Yogic exercise would be encouraged in schools,
colleges and offices.